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PRAIRIE PODIATRY L.L.C.
NPI 1144349747
Podiatrist in Springfield, IL

Active since March 28, 2007
2070 W ILES AVE, SPRINGFIELD, IL 62704(217) 698-6228(217) 698-7241 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Podiatry L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE PODIATRY L.L.C. (NPI 1144349747) is a healthcare organization registered as a podiatrist in Springfield, Illinois and active in the NPI registry since March 2007. The organization lists John Andrew Shoudel, Owner, as its authorized official.

NPPES Registry Identity

NPI1144349747
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRAIRIE PODIATRY L.L.C.
Location Address2070 W ILES AVESpringfield, IL 62704-4174
Mailing Address2070 W Iles AveSpringfield, IL 62704-4174 · (217) 698-6228 · Fax (217) 698-7241
Phone(217) 698-6228
Fax(217) 698-7241
Organization SubpartNo
Authorized OfficialJohn Andrew ShoudelOwner · (217) 698-6228
Enumeration DateMarch 28, 2007
Last NPPES UpdateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1144349747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016004443
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2070 W ILES AVE, Springfield, IL 62704
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Other Identifiers 1

Other60101308IL · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD LEE BROWN D.P.M.
Podiatrist (Foot & Ankle Surgery)
2070 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-6228
DR. JOHN ANDREW SHOUDEL DPM
Podiatrist (Foot & Ankle Surgery)
2070 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-6228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Podiatry L.L.C.'s NPI number?

The NPI number for Prairie Podiatry L.L.C. is 1144349747. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Prairie Podiatry L.L.C. located?

Prairie Podiatry L.L.C. is located at 2070 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 698-6228.

What is Prairie Podiatry L.L.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Prairie Podiatry L.L.C. was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.